• Journal of Chest Surgery
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• 제41권3호
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• pp.381-385
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• 2008

두 차례의 좌측 하지 부종이 있던 69세 남자 환자가 심부 정맥 혈전으로 본원에 입원하였다. 처음은 2007년 6월에 유럽 여행에서 귀국 시 11시간 비행 후 좌측 하지 부종이 있었으며, 그 후로 2007년 7월 요추 수술 후 3일만에 다시 좌측 하지 부종이 나타나서 본원에 내원하였다. 입원 후 심부 대퇴 정맥에 발생한 심부 정맥 혈전으로 치료하였으나, 심부 정맥 혈전에 대한 수술 후에 혈관 평활근육종이란 조직 검사 결과를 알게 되어 이차 수술로 심부 대퇴 정맥을 제거하였다. 본원에서는 심부 정맥혈전의 양상을 보인 혈관 평활근육종 1예를 치험하였기에 이에 보고하는 바이다.

• 자원환경지질
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• 제23권2호
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• pp.183-199
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• 1990

Ore deposits of Dongwon mine are composed of numerous gold and silver veins emplaced in sedimentary rocks of Cambrian Choseon Supergroup and granitoids of Cretaceous age. Ore veins of the mine can be divided into gold and silver veins on the base of vein structure, mineral assemblage and vein trends. Mutual relationships between gold and silver veins are uncertain. Gold veins are simple veins which are composed of base-metal sulfides, and electrum with quartz and ankerite. On the other hand, silver veins are complex veins which reveal three distinct stages of mineral deposition based on vein structure; stage I, deposition of small amounts of oxides and pyrite with quartz; stage II, deposition of base-metal sulfides, small amounts of Ag-bearing minerals, calcite and quartz; stage III, deposition of base metal sulfides, electrum, Ag-sulfosalts, native silver, carbonates and quartz. Homogenization temperature and salinity of fluid inclusion from quartz of gold vein are as follows; $229^{\circ}$ to $283^{\circ}C$, 4.7 to 6.4 wt.% equivalent NaCI. The ore mineralogy suggests that temperature(T) and sulfur fugacity($fs_2$) of the formation of the gold vein and stage III of silver vein are estimated as T ; $294^{\circ}$ to $318^{\circ}C$, $fs_2\;10^{-9.4}$ to $10^{-10.1}$ atm. and T; $240^{\circ}$ to $279^{\circ}C$, $fs_2;10^{-11.1}$ to $10^{-17.3}$ atm. respectively. Pressure condition during gold vein formation estimated from data of ore mineralogy and fluid inclusion range 500 to 750 bar.

• Journal of Chest Surgery
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• 제46권6호
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• pp.439-443
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• 2013

Background: The surgically created arteriovenous fistula has recently been recommended as the best available angioaccess for hemodialysis. Therefore, in this study, we carried out a clinical analysis on surgical procedures in the ligation and division of a distal vein to achieve similar effects as those of vein end-to-arterial side after side-to-side anastomosis. Methods: We retrospectively reviewed the clinical data of 113 patients who came for an outpatient clinic follow-up to the department of internal medicine of our hospital; these patients were among the 125 patients who underwent radiocephalic arteriovenous fistula (side-to-side anastomosis with distal vein ligation and division) in our hospital in the period from January 2006 to December 2010. Results: The patency rate showed no statistical significance with respect to sex (p=0.775), age (p=0.775), hypertension (p=0.262), diabetes (p=0.929), and cardio-neurovascular disease (p=0.717). Patency rates were 96% for the first month, 93% for the first year, and 90% for the second year for the radiocephalic arteriovenous fistula (side-to-side anastomosis with distal vein ligation and division) performed on the wrist. Conclusion: The patency rates revealed favorable results and few postoperative complications as compared to those of previous reports. Therefore, radiocephalic fistula using side-to-side anastomosis with distal cephalic vein ligation is considered a recommendable surgical procedure in the distal part for the hemodialysis of CRF patients.

• 정보처리학회논문지:소프트웨어 및 데이터공학
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• 제7권9호
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• pp.345-350
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• 2018

본 연구는 지정맥 인식에 중요한 정맥 패턴 특징검출을 위한 알고리즘이다. 특징검출 알고리즘은 패턴인식 시 인식결과에 많은 영향을 끼치므로 중요하다. 인식률은 손가락 위치 변화에 따라 기준도 변화되므로 저하되는 특징을 가지고 있다. 또한, 손가락에 적외선 광을 조사하여 획득한 영상은 영상 배경과 혈관 패턴을 분리하기에 어렵고, 영상 전처리과정을 수행하므로 검출시간이 증대되는 특징을 가지고 있다. 이를 위해, 제시하는 알고리즘은 영상 전처리과정이 없이 수행되어 검출 시간을 줄일 수 있고, 지정맥 영상에 SWDA(Shifted Waveform Data Analysis) 알고리즘을 적용하여 손가락 마디 위치 및 정맥 패턴 검출이 가능한 특징을 가지고 있다. 적외선 투과율이 낮아 상대적으로 어두운 정맥 영상도 검출 오류 최소화가 가능한 특징을 보였다. 또한, 손가락 마디 위치는 분류 단계에서 기준으로 활용하면 인식률 저하를 보완할 수 있는 특징을 가지고 있다. 추후 손바닥, 손목 등 신체 여러 인식분야에 제안하는 알고리즘을 적용한다면 생체 특징 검출 정확도 향상 및 인식 수행 시간 감소에 기여할 것으로 기대된다.

• Advances in pediatric surgery
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• 제4권1호
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• pp.1-15
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• 1998

To evaluate the effectiveness of central venous catheters(CVCs) in children, 320 CVCs placed in 255 neonate and children over a 10-year period were analyzed retrospectively. CVC was placed by one pediatric surgeon for a total of 6, 116 patients days. Catheters were placed preoperatively for TPN or chemo in 223 cases. CVC was solely for TPN in 57 cases and for chemotherapy in 40. Local anesthesia was utilized in 71 cases, and the general anesthesia was administered in the remainder of the patients. The subclavian vein was catheterized(SCV) in 202 cases(82 infants and neonates), tunneled external jugular venotomy(EJV) was utilized in 38, tunneled internal jugular venotomy(UV) in 2, the facial venotomy(FV) was used in 3, and the umbilical vein was catheterized UVC) with vein transposition in 74 infants. In neonates, 72 UVCs were placed during laparotomy. SCV was increased with ages, from 3 kg of minimal body weight. The average catheter-periods over-all were 19.1 days, SCV 17 days, EJV 40, IJV 60 and UVC 14. Technical complications were; arterial puncture(6), puncture failure(5) and abnormal location(12) in SCV; insertion failure(3) in EJV; abnormal location in the portal vein(4) and the liver parenchyma(2) cystic fluid accumulations in UVC. Twelve migrations(3.8 %) out of position occurred; SCV(2), EJV(1) and UVC(9). There were 4 cases(1.2 %) of catheter obstruction and 11(3.4 %) of catheter infection(3 SCV, 2 EJV and 6 UVC). Rescue procedures were utilized with some success. There was one mortality(0.3 %) due to deep sedation in a 1.06 kg baby during placement of an EJV. The surgeon's experience, proper catheter selection and following safety rules are the most important factors for successful CVCs.

• Journal of Yeungnam Medical Science
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• 제30권1호
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• pp.31-35
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• 2013

Hematoma is quite a common complication of femoral arterial catheterization. However, to the best of our knowledge, there have been no previous studies regarding deep vein thrombosis (DVT) caused by compression of a vein due to a hematoma. We report a case of a hematoma developing after femoral arterial catheterization and causing extensive symptomatic DVT. A 59-year-old male was seen in our Emergency Department with right lower leg swelling 15 days after coronary stent implantation performed using right femoral artery access. Computed tomographic (CT) scanning revealed a large hematoma (45 mm in its longest diameter) compressing the common femoral vein and with DVT from the right external iliac vein to the popliteal vein. Due to the extensive DVT involvement, we decided to release the compressed common femoral vein by surgical evacuation of the large hematoma. However, even following evacuation of the hematoma, as the DVT did not resolve soon, further mechanical thrombectomy and catheter-directed thrombolysis were performed. Angiography then showed nearly resolved DVT, and the leg swelling was improved. The patient was discharged with the anticoagulation medication, warfarin.

• Tuberculosis and Respiratory Diseases
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• 제42권5호
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• pp.767-771
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• 1995

저자등은 객혈을 주소로 내원한 기관지동맥과 폐정맥의 동정맥기형 1예를 기관지동맥 조영술로 확진하고 치료하였기에 문헌고찰과 함께 보고하는 바이다.

• 한국인터넷방송통신학회논문지
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• 제21권3호
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• pp.159-168
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• 2021

정보화 시대에 접어들면서 개개인의 신원을 정확하게 인식하여 인증하는 것은 정보 보호를 위해 매우 중요하기 때문에 신체를 활용한 생체인식의 활용이 점차 증가하고 있다. 그중 지정맥 인증 기술은 위조 및 복조하기 어려워 보안성과 정밀도가 높고 사용자 수용성이 용이하여 사회적 많은 관심을 받고 있다. 그러나 신원확인을 위한 알고리즘이나 주변의 빛의 환경에 따라 정확도가 떨어질 수 있다. 본 논문에서는 지정맥 측정 장치 중 활용성이 좋은 측면형 지정맥 인식기를 직접 설계하고 제작하여 높은 정확도와 인식률을 위해 DenseNet-201의 딥러닝 모델을 활용하여 인증하였으며 사용하는 적외선 광원과 주변 가시광선의 영향에 따른 지정맥 인증 기술의 성능을 시뮬레이션을 통해 분석하였다. 시뮬레이션은 전북대의 MMCBNU_6000과 직접 촬영한 지정맥 영상을 사용하고 EER을 이용하여 성능을 비교 분석한다.

• Journal of Chest Surgery
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• 제55권3호
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• pp.233-238
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• 2022

Background: This study investigated the distribution of valve incompetence in patients with chronic venous disease (CVD) and its correlation with the clinical category of the clinical, etiological, anatomical, and pathophysiological (CEAP) classification. Methods: In total, 1,386 limbs with clinically suspected CVD were categorized according to the CEAP classification and consecutively underwent duplex ultrasonography between April 2017 and December 2020. Results: There were 362 limbs in male patients and 1,024 limbs in female patients. The limbs were classified as C0s-C1 (608 limbs, 43.8%), C2 (727 limbs, 52.5%), or C3-C6 (51 limbs, 3.7%). The prevalence of saphenous vein incompetence in CEAP C0s-C1 limbs was 43.6%. The saphenofemoral junction (SFJ) was competent in 37% of CEAP C2-C6 limbs. The CEAP C3-C6 category was not correlated with reflux patterns of the saphenous vein system (Cramer's V=0.07), incompetent SFJ (Cramer's V=0.07), deep vein reflux (Cramer's V=0.03), or the distribution of incompetent segments in the great saphenous vein (GSV) (Cramer's V=0.11). Conclusion: Duplex ultrasonography is necessary to formulate a proper treatment plan for limbs categorized as CEAP C0s-C1. The SFJ was competent in more than one-third of CEAP C2-C6 limbs with GSV reflux; as such, flush ligation of the GSV may be unnecessary in these patients. The CEAP C3-C6 category showed no correlations with reflux patterns of the saphenous vein system, SFJ reflux, deep vein reflux, or the distribution of incompetent segments in the GSV.

• 대한영상의학회지
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• 제81권3호
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• pp.707-713
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• 2020

간문맥 종양혈전이 있으면서 간 실질에 이상 소견이 없는 것은 매우 드문 일이다. 간에서 종양 혈전이 있는 경우 간세포암이 가장 발생률이 높으며 림프종은 감별질환으로 잘 생각되지 않는다. 림프종의 종양혈전이 간문맥을 침범한 것은 이제까지 총 네 가지 경우에서만 보고되어 있고, 모든 경우에서 종양이 혈관으로 직접 전파되거나 또는 그 외의 림프종을 시사하는 다른 병변들이 있었다. 혈관 내 대세포 림프종이 간문맥을 함께 침범한 경우, 본 케이스와 영상학적으로 비슷하게 보일 수 있으나 본 증례 보고는 혈관 내 대세포 림프종이 아니므로 제외하여 생각하였다. 미만성 거대 B세포 림프종이 간문맥에서만 발견된 무증상의 면역력이 정상인 67세 여자 환자에 대한 증례를 소개한다. 이전에 발표된 증례에서 이와 비슷한 경우는 보고된 바가 없다.